Contractor Expense Reimbursement Form WT

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Contractor Expense Reimbursement

Please submit this form online and ensure approval from Supervisor. All supp
should be submitted to your Staffing Agency to claim the same fro

NOTE: Expense amount claimed below should be in same currency as per Syne
different currency expenses are incurred, they require getting converted to the
Synergy Workorder.

Serial
Date  Bill / Receipt No. Expense Type / Nature of Expense
Number

1
2 01-DEC & 02-DEC On-Call
Total Claimed Amount

Note:
Supervisor to approve expenses based on Wipro approved rates in the respective Geography
Contractor to check with his supervisor on the rates
pense Reimbursement
pproval from Supervisor. All supporting receipt / bills,
fing Agency to claim the same from Wipro.

be in same currency as per Synergy Workorder. In case


y require getting converted to the same currency as per
rgy Workorder.

Claimed Amount Comments 

60.00 on-call for remaining two days, 5 days were claimed in NOV end
60.00

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